Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,862.09 / $5,623.41	Facility		$288.40	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $446.68	Professional		$138.04	$234.42	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,235.94	Facility		$1,096.48	$1,318.26	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $426.58	Professional		$186.21	$288.40	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $457.09	Professional		$162.18	$263.03	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $933.25	Professional		$194.98	$363.08	$933.25
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $316.23	Professional		$186.21	$194.98	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $302.00	Professional		$32.36	$32.36	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $3,801.89	Facility		$724.44	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $446.68	Professional		$151.36	$257.04	$446.68